Provider Demographics
NPI:1962650242
Name:DE LOS SANTOS, SARAH ALETHEA (PSYD)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:ALETHEA
Last Name:DE LOS SANTOS
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 MARIN ST STE 202
Mailing Address - Street 2:
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91360-4266
Mailing Address - Country:US
Mailing Address - Phone:818-324-0423
Mailing Address - Fax:
Practice Address - Street 1:501 MARIN ST STE 202
Practice Address - Street 2:
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91360-4266
Practice Address - Country:US
Practice Address - Phone:818-324-0423
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-28
Last Update Date:2016-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health